Thrombolysis for Acute Central Retinal Artery Occlusion: Is it Time?

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Intra-Arterial Thrombolysis for Acute Central Retinal Artery Occlusion: A Systematic Review and Meta-Analysis

Background and purpose Acute central retinal artery occlusion (CRAO) is a serious ophthalmologic emergency that may result in monocular blindness. To date, studies evaluating intra-arterial thrombolysis (IAT) have not shown a definitive clinical benefit. We have conducted a systematic review with a meta-analysis to effectively evaluate this treatment option. Methods A systematic literature se...

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Periarteriolar-Sparing Retinal Edema in Acute Central Retinal Artery Occlusion.

A 56-year-old man was referred to our hospital about 48 h after sudden onset of painless central visual loss in his right eye (OD) on a winter morning. He had a more than 25-year history of systemic hypertension and smoking. Funduscopic observation showed striated retinal whitening in the macular region, faint cotton-wool patches around the optic disc, and segmental narrowing of the retinal art...

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Comparison of intra-arterial thrombolysis with conventional treatment in patients with acute central retinal artery occlusion.

BACKGROUND Several case series and a recent meta-analysis indicate that intra-arterial thrombolysis (IAT) is effective for the treatment of acute central retinal artery occlusion (CRAO). METHODS A total of 37 patients with acute monocular blindness because of unilateral thromboembolic CRAO were treated with IAT using urokinase within six hours of the onset of symptoms. Visual outcome was comp...

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Central Retinal Artery Occlusion Masquerading as Branch Retinal Artery Occlusion

Dear Editor, Retinal artery occlusion (RAO) is characterized by attenuated arterioles and ischemic retinal opacity, which suggest retinal infarction. Branch RAO (BRAO) has a more favorable prognosis than central RAO (CRAO). CRAO and BRAO can be differentiated based on the isch-emic retinal opacity area, location of the attenuated vessels , and a cherry-red spot [1]. However, we encountered a ca...

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Treatment Options for Central Retinal Artery Occlusion

OPINION STATEMENT Central retinal artery occlusion (CRAO) is an ocular emergency and is the ocular analogue of cerebral stroke. It results in profound, usually monocular vision loss, and is associated with significant functional morbidity. The risk factors for CRAO are the same atherosclerotic risk factors as for stroke and heart disease. As such, individuals with CRAO may be at risk of ischemi...

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ژورنال

عنوان ژورنال: American Journal of Ophthalmology

سال: 2008

ISSN: 0002-9394

DOI: 10.1016/j.ajo.2008.07.025